Republic of the Philippines

Department of Education
REGION IV – A CALABARZON
SCHOOLS DIVISION OF BATANGAS
GOV. FELICIANO LEVISTE MEMORIAL NATIONAL HIGH SCHOOL

CERTIFICATION
CALACHUCH
This is to certify that the school forms of Grade 7 _____________________ have been checked and
I
verified by the School Checking Committee whose names and signatures appear below.

School forms checked and verified:

a. SF1- School Registry

b. SF5- Report on Promotion
c. SF9- Progress Report
d. SF10- Permanent Record

_________________________ _________________________ _________________________

CECILIA DE SAGUN MARIAN CELINE MABUGAY MARIBEL ILAGAN
Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
COMMITTEE MEMBER COMMITTEE MEMBER COMMITTEE MEMBER

_______________________
MARY JANE D. BARAL
Signature Over Printed Name
COMMITTEE CHAIRMAN

Prepared by:

IVAN M. DE CASTRO
Adviser, Grade 7- Calachuchi

Address: Igualdad St., Lemery, Batangas

(043) 321-6046
gflevistemnhs@yahoo.com